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Traditional Medicine in Asia

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on. Thus, m<strong>in</strong>d and body, emotions and<br />

viscera, are parts of an <strong>in</strong>tegral whole.<br />

No matter how diversified the various<br />

systems of traditional medic<strong>in</strong>e <strong>in</strong> the<br />

spheres of diagnosis, treatment and<br />

management of diseases and patients, they<br />

have a common viewpo<strong>in</strong>t which may be<br />

summed up by the term holistic medical<br />

model or holism.<br />

Basic concepts of modern<br />

biomedic<strong>in</strong>e<br />

In the Middle Ages <strong>in</strong> the West, the<br />

dom<strong>in</strong>ation of religion and feudalistic<br />

monarchy greatly hampered the development<br />

of the natural sciences, and<br />

obstructed the progress of medic<strong>in</strong>e. Thus,<br />

medieval medic<strong>in</strong>e was shrouded <strong>in</strong> the<br />

mists of theology.<br />

Modern western medic<strong>in</strong>e was first<br />

established <strong>in</strong> the 18th century, dur<strong>in</strong>g the<br />

“enlightenment” <strong>in</strong> Europe. The new natural<br />

sciences created by Galileo, Descartes,<br />

Newton, Boyle and others no longer<br />

conceived of the world <strong>in</strong> terms of qualities<br />

and elements, but as consist<strong>in</strong>g of particles<br />

of measurable sizes, shapes and motion.<br />

Descartes saw the body as he saw the world,<br />

<strong>in</strong> mechanical terms. This new and <strong>in</strong>fluential<br />

philosophy was one that reduced biological<br />

processes to mechanical events. 5<br />

Closely related to mechanism is<br />

reductionism, which expla<strong>in</strong>s the properties<br />

of the whole entirely by the properties of<br />

the parts that compose it. In medic<strong>in</strong>e,<br />

reductionism offers explanations <strong>in</strong> terms<br />

of physical, chemical and mechanical<br />

pr<strong>in</strong>ciples. The biomedic<strong>in</strong>e which thus<br />

evolved “considers biological entities more<br />

or less as equal to the sum of their<br />

anatomical parts and endeavours to<br />

elucidate molecular, physiological and<br />

pathological mechanisms believed to form<br />

the basis of biological processes”. 6<br />

Harmonization of traditional and modern medic<strong>in</strong>e<br />

The achievements of the natural<br />

sciences and the reductionistic<br />

approaches, and the use of analytical<br />

methodologies, brought about a medical<br />

revolution <strong>in</strong> the West – medieval medic<strong>in</strong>e<br />

was transformed <strong>in</strong>to scientific biomedic<strong>in</strong>e.<br />

The revolution started with anatomy, which<br />

explored the precise structure of the human<br />

body. The microscope not only became an<br />

essential aid for anatomists, but also<br />

furthered pathological study from the<br />

organic and histological levels to the<br />

cellular level. Progress <strong>in</strong> the physical<br />

sciences <strong>in</strong>spired experimental <strong>in</strong>vestigations<br />

<strong>in</strong> physiology. Breakthroughs <strong>in</strong><br />

chemistry, such as the study of energy<br />

conversion <strong>in</strong> the human body, also held<br />

great promise for medic<strong>in</strong>e. In the latter<br />

half of the 19th century, the “bacteriological<br />

revolution” clarified the true<br />

pathogens of many communicable<br />

diseases. Along with the advance of<br />

anatomy, physiology, pathology and<br />

bacteriology, cl<strong>in</strong>ical medic<strong>in</strong>e also<br />

progressed, particularly <strong>in</strong> respect of<br />

diagnostics and surgical operations. A new<br />

system of medic<strong>in</strong>e – modern biomedic<strong>in</strong>e<br />

– was thus formed and developed <strong>in</strong> the<br />

West. This system is different from the<br />

traditional systems, not only <strong>in</strong> terms of<br />

concrete knowledge and practice, but also<br />

with respect to the underly<strong>in</strong>g philosophical<br />

views.<br />

Conflicts between traditional<br />

medic<strong>in</strong>e and modern<br />

biomedic<strong>in</strong>e<br />

Ow<strong>in</strong>g to the fact that traditional medic<strong>in</strong>e<br />

and modern medic<strong>in</strong>e evolved on the basis<br />

of different philosophical assumptions and<br />

with different methodological approaches,<br />

conflicts are bound to arise when the two<br />

systems are used simultaneously <strong>in</strong> the<br />

same country or area. Different countries<br />

117

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